| Theme | Infections Diseases in Hemodialysis Patients -- the Progress of Diagnosis and Therapy | |
|---|---|---|
| Title | Blood access infection | |
| Publish Date | 2001/07 | |
| Author | Yo Kamiizumi | Department of Surgery & Dialysis Center, Iwamizawa Municipal General Hospital |
| Author | Kenji Abe | Department of Surgery & Dialysis Center, Iwamizawa Municipal General Hospital |
| Author | Kouji Ito | Department of Surgery & Dialysis Center, Iwamizawa Municipal General Hospital |
| [ Summary ] | Blood access is a lifeline to patients placed under choronic hemodialysis and maintenance of blood access is one of the most important subjects in dialysis therapy. Among blood access troubles, infectious complication influences the mortality and morbidity of dialysis patients. Local infection of blood access may result in making use of the access impossible and might develop into a further serious complication: sepsis. Blood access infection is classified into wound infection and infection appearring on the puncture-site. Wound infection is most commonly observed in catheter indwelled blood vessels and this increases incidence if the catheter has been indwell for longer periods. Infection related to the catheter can be treated successfully by its removal. Puncture-site infection will be seen mostly in blood access where grafts are used, while this type of infection is rare in native AVF. Blood access infection as a whole is more common in the USA and Europe, chiefly becase graft material is used more often in these countries. Graft infection usually requires the fairly elaborate surgical removal for complete healing. | |